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Interesting Case Miguel G. Echevarria, MD Emory MSK Radiology

Interesting Case - Emory University School of Medicine · Interesting Case Miguel G. Echevarria, MD Emory MSK Radiology • 66 year old female with history of multiple foot surgeries

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Page 1: Interesting Case - Emory University School of Medicine · Interesting Case Miguel G. Echevarria, MD Emory MSK Radiology • 66 year old female with history of multiple foot surgeries

Interesting CaseMiguel G. Echevarria, MD

Emory MSK Radiology

Page 2: Interesting Case - Emory University School of Medicine · Interesting Case Miguel G. Echevarria, MD Emory MSK Radiology • 66 year old female with history of multiple foot surgeries

• 66 year old female with history of multiple foot surgeries presenting with lateral foot pain.

Page 3: Interesting Case - Emory University School of Medicine · Interesting Case Miguel G. Echevarria, MD Emory MSK Radiology • 66 year old female with history of multiple foot surgeries

* Not the actual patient

Page 10: Interesting Case - Emory University School of Medicine · Interesting Case Miguel G. Echevarria, MD Emory MSK Radiology • 66 year old female with history of multiple foot surgeries

Sural Nerve

• Sensory nerve in the calf region (sura) of the leg.

https://functionalanatomyseminars.files.wordpress.com

Page 12: Interesting Case - Emory University School of Medicine · Interesting Case Miguel G. Echevarria, MD Emory MSK Radiology • 66 year old female with history of multiple foot surgeries

Sural Nerve

• May be susceptible to mechanical impingement or entrapment, injured secondary to trauma (fibular fracture) or iatrogenic.

• Burning, numbness, or aching at the posterolateral leg.

• Nerve block• Determine site of entrapment• Cause of patients pain

• Conservative treatment• Physical therapy • Corticosteroid injection

• Surgical resection, neurolysis

https://functionalanatomyseminars.files.wordpress.com

Page 13: Interesting Case - Emory University School of Medicine · Interesting Case Miguel G. Echevarria, MD Emory MSK Radiology • 66 year old female with history of multiple foot surgeries

Local Anesthetics

Page 14: Interesting Case - Emory University School of Medicine · Interesting Case Miguel G. Echevarria, MD Emory MSK Radiology • 66 year old female with history of multiple foot surgeries

Corticosteroids

The Pharmacological Basis of Therapeutics

Page 15: Interesting Case - Emory University School of Medicine · Interesting Case Miguel G. Echevarria, MD Emory MSK Radiology • 66 year old female with history of multiple foot surgeries

References• Ultrasound-Guided Peripheral Nerve Injection Techniques, O. Kenechi Nwawka and Theodore T. Miller

American Journal of Roentgenology 2016 207:3, 507-516